Individual provider · Type 1 NPI
Colleen Tetzlaff, FNP
Family Nurse Practitioner · Portland, ME
NPI number
1710083233
Active
Practice location
222 Auburn St, Ste 103
Portland, ME 04103-6005
Fax (855) 216-3778
Mailing address
PO Box 1638
Albany, NY 12201-1638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | CNP81384 (ME) |
Family Nurse Practitioner: Definition to come...
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About NPI 1710083233
Colleen Tetzlaff, FNP's National Provider Identifier is 1710083233, issued on Sep 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, ME. The record was last updated on Mar 25, 2019.